Nursing Process Adn1

Front 1

the nursing process contains 5 steps

Back 1

assessment
analysis/nursing diagnosis
planning
implementation
evaluation

Front 2

During assessment, data must be

Back 2

collected,verified & documented to create a base on which the subsequent steps of the nursing process are built upon.

Front 3

Analysis, the second step of the Nursing Process, requires the nurse to

Back 3

validate data,
collect additional data if necessary,
interpret & determine its significance.

Front 4

The nursing diagnosis reflects

Back 4

based on the significance of the collected data, the nursing statement should include the problem and the factors that contribute to the development of the problem.

Front 5

Planning, the third step of the Nursing Process, requires the nurse to:

Back 5

involve the patient in the planning process.
identify and set goals.
establish expected outcomes.
set priorities.
identify interventions.
ensure that the patient's health care needs are appropriately met.
modify plan if needed.
collaborate with other health care team members.

Front 6

Goals, part of the third step of the Nursing Process(Planning), are:

Back 6

general statements that direct nursing interventions.
They provide broad parameters regarding the desired results of the nursing care.

Front 7

A long term goal :

Back 7

take time to achieve

Front 8

A short term goal will:

Back 8

achieved relatively quickly.

Front 9

Goals should be:

Back 9

patient centered.
specific(measurable).
realistic.
achievable within a time frame.

Front 10

EXPECTED OUTCOMES, part of the third step of the Nursing Process(Planning), are:

Back 10

Changes in the patient's conditions that should occur in response to care provided.

Front 11

EXPECTED OUTCOMES are derived from goal statements but are :

Back 11

more specific because they describe the the behavior to be demonstrated or data to be collected indicating that the goal has been achieved.

Front 12

EXPECTED OUTCOMES are:

Back 12

the benchmarks against which the patient's ACTUAL OUTCOMES are compared against( in the last step of EVALUATION) to determine the effectiveness of the interventions provided.

Front 13

Setting priorities is an important step in the PLANNING process. After nursing diagnoses and goals are identified, they must be:

Back 13

Ranked in the order of importance.

Front 14

Set Priorities( part of the third step of the NURSING PROCESS-PLANNING) can be ranked in the order of importance by using:

Back 14

Maslow's Hierarchy of Needs:
Physiologic
Safety
Love and Belonging
Esteem
Self-Actualization.

Front 15

Identifying Interventions ( part of the third step of the NURSING PROCESS-PLANNING) involves:

Back 15

using scientific knowledge, clinical judgement and knowledge about the patient the nurse determines what nursing measures will be most effective in assisting the patient to achieve the goal or outcome.

Front 16

The nurse is obligated to provide a standard of care as defined by:

Back 16

The Nurse Practice Act.

Front 17

Nursing actions must assist the patient to meet these health goals:

Back 17

promote wellness.
prevent disease or illness.
restore health.
facilitate with altered functioning or coping with death.

Front 18

Collaboating( part of the third step of the NURSING PROCESS-PLANNING)
involves:

Back 18

consultation with other members of the health care team is used to :
seek input,
delegate and coordinate delivery of interventions,
ensure that services are performed within the context of the patient's physical and emotional abilities,
ensures that patient care has continuity, is patient centered, coordinated and individualized.

Front 19

IMPLEMENTATION ( part of the fourth step of the NURSING PROCESS-PLANNING) is:

Back 19

part of the Nursing Process in which planned actions are initiated and completed.

Front 20

Nursing Actions interventions) associated with the implementation step of the Nursing Process include:

Back 20

assisting with ADL's,
responding to life threatening situations,
implementing preventive actions,
performing technical skills,
implementing interpersonal interventions with patient and staff,
supervising and ensuring delegated responsibilities are according to standards,
documentation.

Front 21

Evaluation ( part of the fifth step of the NURSING PROCESS-PLANNING) involves:

Back 21

identifying patient responses to care(actual outcomes),
comparing actual outcomes to expected outcomes,
analyze the factors that affected the outcomes to draw conclusions about the effectiveness of the specific nursing interventions,
modifying the nursing plan when necessary.